Gavvy: Ins. Code, Sec. 4201.601. Notice of Suspected Violation; Compelling Production of Information.

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Sec. 4201.601. Notice of Suspected Violation; Compelling Production of Information.

Sec. 4201.601. NOTICE OF SUSPECTED VIOLATION; COMPELLING PRODUCTION OF INFORMATION. If the commissioner believes that a person or entity conducting utilization review is in violation of this chapter or applicable rules, the commissioner:

(1) shall notify the utilization review agent, health maintenance organization, or insurer of the alleged violation; and

(2) may compel the production of documents or other information as necessary to determine whether a violation has occurred.

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

Gavvy last updated this database on: Sep 6, 2024